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教授:自塞氏病(简称B病),是累及多脏器的疾患。通过这次查房,希望能进一步提高大家对B病的认识。先请报告病历。 实习医师:男,40岁,住院号366129。于1992年4月11日入院。患者1989年2月出现发热口腔、外阴溃疡、眼虹膜睫状体炎,在当地医院诊为B病。次年3月又因胃口不适、烧灼感和胸骨后隐痛,在当地医院食管钡餐透视显示食管下1/4段蠕动减弱,壁无僵硬,粘膜紊理粗乱;作食管镜检见食管下段粘膜充血、糜烂,触之易出血。活检病理:慢性非特异性炎症,中性白细胞浸润,诊断为食管炎。经注意饮食、对症治疗后病情渐稳定。当年12月一次饮酒后病情复发,体温39℃,口腔和外阴溃疡,右下腹痛、腹泻,在当地医院诊为急性胃
Professor: Since the disease (referred to as B disease), is involved in multiple organ disease. Through this round of ward, I hope to further raise awareness of B disease. Please report the medical record first. Intern: Male, 40 years old, hospitalization number 366129. Admitted to hospital on April 11, 1992. Patients in February 1989 fever, oral ulcers, ocular iridocyclitis, diagnosed as B disease in the local hospital. In March the following year due to appetite, burning and sore chest pain, esophageal barium meal fluoroscopy at the local hospital showed decreased peristalsis under the section of the esophagus 1/4, the wall without stiffness, mucosal disorders; for esophageal esophageal mucosa Congestive, erosion, easy to touch the bleeding. Biopsy pathology: chronic non-specific inflammation, neutrophil infiltration, diagnosis of esophagitis. After careful diet, the disease gradually stabilized after symptomatic treatment. In December of that year after a recurrent drinking, temperature 39 ℃, oral and vulvar ulcers, right lower quadrant pain, diarrhea, diagnosed in the local hospital as acute stomach